Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02681 | Date 10/09/2022 |
| Token No | SM/25-26/7700 10/09/2025 | Serial | 019 |
| Patient Name | Mrs. RITA BHUIYA | Contact No | 8272907795 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||